Initial impact of the COVID-19 pandemic on public health training: participatory action research to understand experiences in the East Midlands.

BACKGROUND: Specialty public health training consists of 48 months of practice across the domains of health protection, healthcare public health and health improvement.With the onset of the COVID-19 pandemic, activity pivoted towards pandemic management and the response became a significant element of registrar practice.This research aimed to understand the impact of this shift in focus on registrars' role and training. METHODS: Participatory action research comprising (i) a reflective survey sent to all specialty registrars in the East Midlands training region and (ii) Delphi rounds with survey respondents to generate consensus and define themes. RESULTS: Sixteen (44%) registrars completed the survey with 12 (75%) participating in the Delphi rounds. The early pandemic response stages both challenged and re-affirmed registrars' role and identity in public health and training while providing unique and diverse learning and development. Underpinning these themes is a variability in experience depending on prior experience, placement and training stage. CONCLUSIONS: The pandemic impacted the practice, training and home-life of registrars who were required to negotiate significant challenge and uncertainty. This original work adds to a growing body of correspondence and opinion pieces articulating the experiences and challenges of medical and public health education during a pandemic.

Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care.

In the past decade, the demand for home-based care has been amplified by the Coronavirus disease 2019 pandemic. Home-based care has significant benefits for patients, their families, and healthcare systems, but it relies on the often-invisible workforce of family and friend caregivers who shoulder essential health care responsibilities, frequently with inadequate training and support. Hematopoietic cell transplantation (HCT), a potentially curative but intensive treatment for many patients with blood disorders, is being increasingly offered in home-based care settings and necessitates the involvement of family caregivers for significant patient care responsibilities. However, guidelines for supporting and preparing HCT caregivers to effectively care for their loved ones at home have not yet been established. Here, informed by the literature and our collective experience as clinicians and researchers who care for diverse patients with hematologic malignancies undergoing HCT, we provide considerations and recommendations to better support and prepare family caregivers in home-based HCT and, by extension, family caregivers supporting patients with other serious illnesses at home. We suggest tangible ways to screen family caregivers for distress and care delivery challenges, educate and train them to prepare for their caregiving role, and create an infrastructure of support for family caregivers within this emerging care delivery model.

MagAO-X: current status and plans for Phase II

We present a status update for MagAO-X, a 2000 actuator, 3.6 kHz adaptive optics and coronagraph system for the Magellan Clay 6.5 m telescope. MagAO-X is optimized for high contrast imaging at visible wavelengths. Our primary science goals are detection and characterization of Solar System-like exoplanets, ranging from very young, still-accreting planets detected at H-alpha, to older temperate planets which will be characterized using reflected starlight. First light was in Dec, 2019, but subsequent commissioning runs were canceled due to COVID-19. In the interim, MagAO-X has served as a lab testbed. Highlights include implementation of several focal plane and low-order wavefront sensing algorithms, development of a new predictive control algorithm, and the addition of an IFU module. MagAO-X also serves as the AO system for the Giant Magellan Telescope High Contrast Adaptive Optics Testbed. We will provide an overview of these projects, and report the results of our commissioning and science run in April, 2022. Finally, we will present the status of a comprehensive upgrade to MagAO-X to enable extreme-contrast characterization of exoplanets in reflected light. These upgrades include a new post-AO 1000-actuator deformable mirror inside the coronagraph, latest generation sCMOS detectors for wavefront sensing, optimized PIAACMC coronagraphs, and computing system upgrades. When these Phase II upgrades are complete we plan to conduct a survey of nearby exoplanets in reflected light.